The nurse is assessing a patient who is prescribed an anticholinergic agent. Which assessment finding indicates the patient is experiencing an adverse reaction to the drug?
1) GI bleeding
2) Hepatic necrosis
3) Diarrhea
4) Paralytic ileus
ANS: 4
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A nurse performing an admission history on a patient learns that the patient is taking orlistat [Xenical], warfarin [Coumadin], and levothyroxine [Synthroid]. What will the nurse do?
a. Contact the provider to discuss increasing the warfarin dose. b. Give the levothyroxine at least 4 hours before giving the orlistat. c. Suggest that the patient avoid fatty foods while taking these medications. d. Tell the patient to take the orlistat on an empty stomach.
The nurse would advise a group of diabetic clients that primary prevention for CHD can be achieved by keeping their fasting blood sugar levels below
a. 56 mg/dl. b. 72 mg/dl. c. 105 mg/dl. d. 126 mg/dl.
The nurse has completed the initial assessment and vital signs for an infant born at 12 noon. The assessment and vital signs were completed at 1:30 PM. What time will the nurse plan to complete the next set of vital signs?
A) 1:45 PM B) 2:00 PM C) 2:30 PM D) 3:30 PM
A nurse is required to document certain information after catheterization. Which information must be documented by the nurse in the electronic medical record?
A) Size and type of catheter inserted B) Adhesive tape used to anchor the tubing to the thigh C) The position of the client for catheter insertion D) The type of water-soluble lubricant used before insertion